Tag: Beverly Hills

Alex Perry, whose celebrity fans include Rihanna and Kim Kardashian, told Yahoo in 2013 that he is not ashamed of using fillers and Botox. In 2016, the Australia’s Next Top Model judge was criticized for his appearance by one of the show’s contestants, 21-year-old Kassidy Ure. After Alex criticized her photos, she sniped back: ‘At least my lips are real!’

Beverly Hills plastic surgeon Dr. Randal Haworth accused the Australian fashion designer of ‘excessive’ use of anti-wrinkle injections. Haworth observed how Alex, 55, looks remarkably different in before and after photos and may have taken things too far. The Beverly Hills surgeon-to-the-stars claimed Alex’s face now looks ‘crowded’ as a result of ‘too much’ filler.

Dr. Haworth stated that ‘Compared to his younger self, his face is now “crowded”, making his eyes appear smaller and closer set. Most likely, a generous recipe of injected filler and more than a drizzle of Botox in and around his forehead, brows and temples contributed to this look.’

Beverly Hills plastic surgeon Dr. Randal Haworth offers his expert opinion on whether Jennifer Hawkins has gone under the knife. She has been the subject of ongoing surgery speculation due to her changing appearance over the years. Dr. Haworth told Daily Mail Australia on Tuesday: ‘I often see pretty girls like Jennifer wanting to fine-tune their features to enter “supermodel” territory.’

Despite being a household name for 15 years, Jennifer does not appear to have aged a day and is arguably more beautiful now than she was in her early twenties. Dr. Haworth, who has not treated Jennifer himself, stated that the Australian model appears to have invested in some minor improvements to ‘improve facial balance as a whole’. In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup during an interview with The Kyle and Jackie O Show.

While old photos of Jennifer reveal a noticeably thinner pout and fuller face, she has previously brushed off surgery speculation. Jennifer once told The Australian Women’s Weekly that it’s the nature of the fashion industry to be accused of undergoing cosmetic surgery. ‘When someone says “under the knife” I don’t have a reaction,’ she told the magazine.

In an interview with Daily Mail Australia, Dr. Haworth has offered his expert opinion on whether the Married At First Sight star has gone under the knife.

Beverly Hills Plastic Surgeon Dr. Haworth believes Ashley Irvin has had some subtle work done on her face and chest. She sparked rumors about a possible breast enlargement after putting on a busty display at the Logie Awards on Sunday.

‘The faint circular ridge bordering the upper portion of her breast strongly suggests the presence of a breast implant’ he said.

Dr. Haworth also believes that Ashley may have made changes to her face in recent years. Observing the ‘visual harmony’ between her lips and teeth, he suggested that Ashley may have invested in lip fillers or veneers.

Dr. Haworth concluded by saying the aforementioned procedures may not be Ashley’s ‘only foray into the world of plastic surgery’.

Dr. Randal Haworth, told Daily Mail Australia on Tuesday that he believes the rapper, could have made additional changes to her facial shape. Haworth, who has not treated Iggy himself, stated that the Australian musician appears to have invested in some ‘subtle‘ and ‘beautiful’ refinements. ‘Iggy is what I would describe as an excellent “canvas” on which a plastic surgeon can reveal his work,’ he says. Iggy Azalea’s striking appearance may be the result of further cosmetic procedures, according to Dr. Haworth.

‘When done right, results can be sublime and indiscernible to a layman’s eye. In the absence of rare complications, less surgical work is needed to create the beautiful, yet subtle, results as exemplified by Ms Azalea – while a less-than-average surgeon could draw unwanted attention to an anatomical “flaw” which only makes things worse.’

In addition to Iggy’s rhinoplasty, which ‘straightened and narrowed her nose’, Dr. Haworth believes she may have undergone ‘a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline’.

Building the optimal in-office OR

1. Flow and Freedom of Movement

Beverly Hills-based plastic surgeon, Randal Haworth, M.D., says he needs to be comfortable and free to move in order to perform facial and body plastic surgery.

But space can be somewhat limited in an OR inside a boutique plastic surgery practice, he says.

“… so careful planning of the envisioned flow between patient, surgeon, scrub tech, circulating nurse and anesthesia provider must be done,” Dr. Haworth says. “In my case, I had to work with a rectangular operating room, in which case I first had to decide where the anesthesia machine would be situated, since its range of movement would be limited by the oxygen and vacuum hoses tethering it to the ceiling. Consequently, it was important for me to have a 180-degree turning radius for the operating table, so I could position it according to whether I am performing facial or body surgery. Of course, OR lights have to follow suit and must be very mobile and bright. My Trumpf LED [Trumpf Medical] system fits the bill nicely.”

2. A Quality Monitor and Sound System

Having a big monitor with a good sound system for music is not only a luxury but a necessity for the modern plastic surgeon. Having the monitor in constant view is a must, according to Dr. Haworth.

3. Intelligently Designed Cabinetry

Proper cabinetry, design to maximize space and efficiency, is essential, according to Dr. Haworth.

“You can never have too many cabinets from the get-go, since these promote organization and obviate the need for vulgar retrofits in the future,” he says. “When it comes to designing my clinic or the operating room, I think that creating and maximizing the feeling of unrestricted space is important for both the patient’s sense of security and the staffs’ sense of clarity.”

4. Don’t Cut Corners

Don’t cut expenses, when it comes to safety, according to Dr. Cohen.

5. Seek Expertise

“Reach out to architects with experience in both the design and credentialing processes,” Dr. Cohen says. “Ultimately, certain third-party inspections may be required, and you don’t want to be caught off guard.”

Dos and Don’ts for the In-office OR

Erin Metelka, an interior designer with Studio Four Design, offers these design dos and don’ts.

OR Dos:

Use a sheet flooring, with heat welded seams and sanitary cove base.

Use bleach cleanable/non-porous products.

Use clean/calming colors.

Provide a variety of adjustable ambient lighting options.

Utilize floor patterns to designate the extents of the sterile zone and care-provider zones.

With the wide variety of procedures that occur in an operating room, often times, the table is moved in order to accommodate the most efficient workflow with the other equipment in the suite. The floor patterns can also be used to dimension the proper location of the table for these various scenarios.

When creating several operating rooms, utilize an identical layout (not mirrored). Often, physicians are moving into adjacent operating rooms for a procedure, while a room is being turned over and sterilized. Having identical layouts increases efficiency and reduces error.

OR Don’ts:

Do not have extraneous items of décor within the suite, such as artwork.

Do not utilize fabric of any kind such as curtains/draperies. If there are windows, create privacy with natural light by using integrated frosted glass. If an upholstery is required for a physician stool or other items, a bleach cleanable vinyl is a suitable alternative, ideally with a Crypton or nano-technology finish applied (these finishes work to prevent moisture penetration to the cushion and function as an antimicrobial).

Do not place any direct down-lighting, with the exception of the surgical boom, directly over the table.

As one of the leading rhinoplasty specialists in the United States, Dr. Randal Haworth continues to challenge himself to be the best he can be. By constantly questioning his results and asking himself how he can do things better, he feels he is subjecting himself to the highest quality assurance and delivering the best possible outcomes in plastic surgery .

Performing rhinoplasties are one of my favorite specialty since the nose place such a central role in the total harmony of the face. Consider it like one of the leading instruments in the orchestra. Though most plastic surgeons and patients alike obsess on nasal humps, wide bones as well as drooping, boxy, pinched and ill-defined tips and, of course, the width of the nostrils, little attention is paid to the actual shape of the nostrils. In other words, a surgeon should not only assess whether the nostrils are wide at their base, but also whether they are arched, pointy, thick or sigmoid in shape.

One of the most common and unflattering nostril shape is that of the “samurai nostril”. Look at the following two photographs and you will see what I mean.
Another example of these flared nostrils that may look appropriate as a menacing sign but not a flattering one for beautiful womanA samurai mask manifesting the flared, aggressive shaped nostrils that are unappealing in a woman

There are a few ways to correct this but probably the most reliable is to harvest a “composite” graft from the hidden portion of one’s ear. This detailed surgery involves insinuating this graft between an incision made on the inside of the nose, corresponding to the actual width of the retracted portion of the nostril. This graft is then sutured into place with the skin side facing the actual inside of the nostril to maintain the continuity of it’s lining. One can lower the nostril about 3 to 4 mm with this technique. Of course, some resorption of the graft occurs so it is best to over-correct this.

Other techniques involve strategic V-Y plasties, which are essentially internal tissue rearrangements of the inner aspect of the nostril in order to lower its rim, cartilage grafts in the actual substance of the nostril to help correct pinched tips while lowering the rim and, finally, filler. These latter techniques, though successful to some degree, are not as effective as an ear “composite” graft.

Note the following two cases in which “composite” grafts were taken from the ear and placed within the nostril to lower them. Of note, simultaneous upper lip lifts to further enhance a feminine appearance were performed.

Transgender patient was retracted nostrils, long upper lip and droopy corners of the lip

Dr. HAWORTH performed a modified rhinoplasty by lowering the nasal arched “samurai” rims (nostrils) as well as an upper lip lift and DAO release to lift up the droopy corners of the mouth

Patient with a long upper lip and retracted “Samurai”nostrils after a previous rhinoplasty by another surgeon

Dr. Haworth performed an upper lip lift along with nostril rim lowering via a composite graft from the ear. Fat transfer was also performed into the upper and lower lips. Notice the more feminine harmony